diff --git a/app/Http/Controllers/Care/AssessmentController.php b/app/Http/Controllers/Care/AssessmentController.php
index a901da9..a3820dd 100644
--- a/app/Http/Controllers/Care/AssessmentController.php
+++ b/app/Http/Controllers/Care/AssessmentController.php
@@ -72,6 +72,10 @@ class AssessmentController extends Controller
         $return->remember($consultation);
         $request->query->set(ConsultationReturnContext::QUERY_KEY, $consultation->uuid);
 
+        // Visit branch may differ from the patient's home branch; consultation
+        // auth already enforced visit-branch scope (same as prescriptions).
+        $request->attributes->set('care.assessments.skip_patient_branch', true);
+
         return $this->index($request, $consultation->patient);
     }
 
@@ -92,6 +96,8 @@ class AssessmentController extends Controller
         }
         $request->query->set(ConsultationReturnContext::QUERY_KEY, $consultation->uuid);
 
+        $request->attributes->set('care.assessments.skip_patient_branch', true);
+
         return $this->create($request, $consultation->patient);
     }
 
@@ -200,6 +206,8 @@ class AssessmentController extends Controller
         ]);
 
         $consultation->loadMissing(['patient', 'visit']);
+        // Org/owner only — branch was checked via authorizeConsultation (visit).
+        $request->attributes->set('care.assessments.skip_patient_branch', true);
         $this->authorizePatient($request, $consultation->patient);
 
         $assessment = $this->assessments->start(
@@ -430,6 +438,10 @@ class AssessmentController extends Controller
         $this->authorizeOwner($request, $patient);
         abort_unless($patient->organization_id === $this->organization($request)->id, 404);
 
+        if ($request->attributes->get('care.assessments.skip_patient_branch')) {
+            return;
+        }
+
         $branchId = app(OrganizationResolver::class)->branchScope($this->member($request));
         if ($branchId !== null && $patient->branch_id !== $branchId) {
             abort(404);
diff --git a/tests/Feature/CareAssessmentCaptureTest.php b/tests/Feature/CareAssessmentCaptureTest.php
index eceb306..19e950c 100644
--- a/tests/Feature/CareAssessmentCaptureTest.php
+++ b/tests/Feature/CareAssessmentCaptureTest.php
@@ -367,6 +367,53 @@ class CareAssessmentCaptureTest extends TestCase
             ->assertOk();
     }
 
+    public function test_consultation_assessments_allow_patient_home_branch_mismatch(): void
+    {
+        $this->setMemberRole('doctor');
+
+        $homeBranch = Branch::create([
+            'owner_ref' => $this->user->public_id,
+            'organization_id' => $this->organization->id,
+            'name' => 'Home Branch',
+            'code' => 'HOME',
+            'is_active' => true,
+        ]);
+        $this->patient->update(['branch_id' => $homeBranch->id]);
+
+        $visit = Visit::create([
+            'owner_ref' => $this->user->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $this->patient->id,
+            'status' => Visit::STATUS_OPEN,
+            'checked_in_at' => now(),
+        ]);
+
+        $consultation = Consultation::create([
+            'owner_ref' => $this->user->public_id,
+            'visit_id' => $visit->id,
+            'patient_id' => $this->patient->id,
+            'status' => Consultation::STATUS_DRAFT,
+            'started_at' => now(),
+        ]);
+
+        $this->assertNotSame($homeBranch->id, $this->branch->id);
+
+        $this->actingAs($this->user)
+            ->get(route('care.consultations.assessments.index', $consultation))
+            ->assertOk();
+
+        $this->actingAs($this->user)
+            ->post(route('care.consultations.assessments.store', $consultation), [
+                'template_code' => 'universal_intake',
+            ])
+            ->assertRedirect();
+
+        $assessment = Assessment::first();
+        $this->assertNotNull($assessment);
+        $this->assertSame($this->branch->id, $assessment->branch_id);
+    }
+
     public function test_consultation_scoped_start_links_consultation_and_visit(): void
     {
         $this->setMemberRole('doctor');